Government, Politics, Healthcare

Attempts at having nationalized healthcare began in 1883 when Otto von Bismarck established health and medical care in Germany based upon an insurance model. Similar approaches have been adopted worldwide by nearly half of the worldÆs sovereign nations including most of those in Western Europe. In most cases, government programs for financing these systems have evolved as part of a broader need of improving social benefit to the population.

The Eighty-Ninth Congress enacted more healthcare related legislation during its first session than had been passed in both sessions of Congress in the previous ten (10) year period. In addition, this Congress had the distinction of appropriating more money for healthcare than any of its predecessors. This success also resolved, at least for the time being, the debate (in favor of the government) as to the federal governmentÆs right to interfere in the private practice of medicine. As such, many believed that some form of national health insurance would be soon forthcoming.

Theodore Roosevelt first proposed national health insurance during his presidential campaign of 1912. Seven (7) times subsequent to this during the twentieth century, the subject would come up again for legislative debateùthe most successful being the experience of the Eighty-Ninth Congress and most recently during the Clinton administration.

President Franklin Roosevelt chose to not pursue a nation

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broader basisùespecially within a more state-centric healthcare implementation model. Third, the public sector has begun to embrace many of the approaches previously used by the private sector with respect to becoming more efficient and responsive to the needs of those elements being served. Unfortunately the downsizing and/or rightsizing experiences in the private sector have often resulted in reduced profit and reduced growth bringing the whole process into question. Application of this approach by the public sector inclusive of downsizing and budgetary reduction will adversely influence issues related to capacity as well as commitment. Fourth, beginning in the mid-1990s, there has been an increased level of cynicism, mistrust and bipartisan polarization that has often been fueled by media attention. Well-performing institutions at the federal and the state level function best in an environment based upon trust and cooperation. Chapter 10: The Demand for Legislationà. Legislation and regulation of healthcare are intended to redistribute wealth. Interest groups that are successful are able to receive net benefits by imposing net costs on those individuals who are less politically able to defend themselves. One o
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Approximate Word count = 5927
Approximate Pages = 24 (250 words per page)

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